What to know
ÐÇ¿ÕÓéÀÖ¹ÙÍø encourages the effective use of fluoride products and community water fluoridation to benefit all members of the community, regardless of age, education, or income.
Overview
For more than 75 years, community water fluoridation has been one of the most practical, cost-effective, fair, and equitable measures that communities can take to improve residents’ oral health and made substantial contributions to narrowing oral health disparities.1
ÐÇ¿ÕÓéÀÖ¹ÙÍø has been the lead agency in water fluoridation since 1975, and an objective for water fluoridation has been included among the since 1979.
ÐÇ¿ÕÓéÀÖ¹ÙÍø's role
ÐÇ¿ÕÓéÀÖ¹ÙÍø funding supports infrastructure in states to promote water fluoridation, monitor coverage and quality of fluoridation, and develop resources for training and public awareness.
ÐÇ¿ÕÓéÀÖ¹ÙÍø provides technical assistance to state fluoridation programs for fluoride engineering, facility management, and monitoring coverage and quality of fluoridation practice.
ÐÇ¿ÕÓéÀÖ¹ÙÍø also serves as a resource to other federal agencies, state programs, professional organizations and associations, and the public.
Water Operators and Engineers
Gathering data
ÐÇ¿ÕÓéÀÖ¹ÙÍø receives data from states on the number of people who have access to this crucial public health intervention. Data are provided by states on a voluntary basis and may not be reported annually.
Water systems that adjust the fluoride content in their water to the optimal level for cavity prevention also perform testing to monitor fluoridation quality. These data are reported to ÐÇ¿ÕÓéÀÖ¹ÙÍø's Water Fluoridation Reporting System (WFRS).
Fluoride in My Community
Recent publications
Hamilton EK, Griffin SO, Espinoza L. Effect of ÐÇ¿ÕÓéÀÖ¹ÙÍø adjustment of state-reported data on community water fluoridation statistics. J Public Health Dent. 2023; 83(3):320–324. DOI:
Boehmer TJ, Lesaja S, Espinoza L, Ladva CN. Community water fluoridation levels to promote effectiveness and safety in oral health — United States, 2016–2021. MMWR Morb Mortal Wkly Rep. 2023;72(22);593–596. DOI:
- Centers for Disease Control and Prevention. Achievements in public health, 1900–1999: fluoridation of drinking water to prevent dental caries. MMWR Morb Mortal Wkly Rep. 1999;48(41):933–940.